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September 30, 2022Journal of Southeast Asian OrthopaedicsOpen Access

Comparison of the Short-Term Outcomes of Cementless Bipolar Hemiarthroplasty and Cementless Total Hip Arthroplasty for Displaced Femoral Neck Fractures in the Elderly

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Why the study?

Displaced femoral neck fractures in the elderly are frequently managed by hip replacement, but consensus is lacking regarding bipolar hemiarthroplasty versus total hip arthroplasty.

Does cementless bipolar hemiarthroplasty improve functional outcomes and reduce complications compared to cementless total hip arthroplasty in elderly patients with displaced femoral neck fractures?

Population

75 patients over 60 years of age with displaced femoral neck fractures

Comparison

Bipolar hemiarthroplasty vs total hip arthroplasty

Design

Prospective randomized controlled trial

Follow-up

12 months

Authors

WWWiboon WanitcharoenpornNSNattapong SasipotiwanWTWitoon Thremthakanpol

Discussion

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Overview

BHA offers similar one-year outcomes to THA with less blood loss and operative time; supports its preference in elderly femoral neck fracture patients.

Structured PICO

Does cementless bipolar hemiarthroplasty improve functional outcomes and reduce complications compared to cementless total hip arthroplasty in elderly patients with displaced femoral neck fractures?

P
Population
75 patients over 60 years of age with displaced femoral neck fracture (Garden’s classification types 3 and 4). Exclusions: preexisting hip conditions and impaired cognitive function.
I
Intervention
Cementless bipolar hemiarthroplasty (BHA) via posterior approach
C
Comparator
Cementless total hip arthroplasty (THA) via posterior approach
O
Outcome
Patient function (Harris hip score) and complications at 1, 3, 6, and 12 monthspatient reported

In elderly patients with displaced femoral neck fractures, bipolar hemiarthroplasty offers similar functional outcomes and complication rates to total hip arthroplasty at one year, but with reduced operative time and blood loss.

Cite This Study

Wanitcharoenporn et al. (2022) studied this question.

synapsesocial.com/papers/6a826184fe5ce613f33ace63https://doi.org/10.56929/jseaortho-022-0166
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Comparative study on functional outcomes of bipolar hemiarthroplasty versus total hip arthroplasty in elderly patients with displaced femoral neck fractures2025
  2. 2A comparative study on the functional outcome of bipolar hip arthroplasty and total hip replacement in elderly patients with displaced femoral neck fractures2023
  3. 3Primary Total Hip Arthroplasty Versus Bipolar Hemiarthroplasty for Fracture Neck of Femur in Geriatric Patients: Comparative Functional Outcomes Study2024
  4. 4Title: Comparative Outcomes of Total Hip Arthroplasty and Bipolar Hip Hemiarthroplasty in Femoral Neck Fractures: A Retrospective Analysis2024
  5. 5A Prospective Study Comparing the Functional Outcome of Bipolar Hemiarthroplasty Versus Total Hip Replacement in Elderly Patients With Fracture of the Neck of Femur2022 · 10 citations